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评估透析患者的残余肾功能:我们能否不再进行 24 小时尿液收集?

Measuring residual renal function in dialysis patients: can we dispense with 24-hour urine collections?

机构信息

UCL Centre for Nephrology, Royal Free Hospital, University College London, London, UK; University College London Medical School, London, UK.

出版信息

Kidney Int. 2016 May;89(5):978-980. doi: 10.1016/j.kint.2016.02.008.

Abstract

Residual renal function is associated with improved survival and quality of life for dialysis patients. Whereas residual renal function is monitored in peritoneal dialysis patients, many hemodialysis centers simply concentrate on achieving dialyzer urea clearance targets. Accurately quantifying residual renal function from urine collections is arduous. Thus, there is a clinical need to develop alternative methods of assessing residual renal function based on serum testing, especially for patients receiving less than thrice weekly dialysis.

摘要

残余肾功能与透析患者的生存和生活质量改善相关。虽然残余肾功能在腹膜透析患者中得到监测,但许多血液透析中心只是专注于实现透析器尿素清除目标。从尿液收集准确量化残余肾功能是很困难的。因此,临床上需要开发基于血清检测的替代方法来评估残余肾功能,特别是对于每周接受少于三次透析的患者。

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